5 rights of medication administration
A common mistake in the medication administration process is neglecting to perform the second check after the medication has been removed from the mediation dispensing device and prepared for administration.
If you are unfamiliar with this medication, check your drug book. Also, check the route on the medication package label with the one on the MAR.
Nevertheless, it pays to adopt a consistent and systematic approach with every patient. Go to the medication preparation area this is may be in a secured room or in a secured portion of the nurses' station and complete the first safety check using the five "rights" of medication administration.
5 rights of medication administration reference
Some systems will have flashing lights to indicate the appropriate bin, while others may indicate the bin number on the screen. Never rush, but if you cannot complete the drug round within one hour seek help from other trained staff. You will only be able to see the first 20 seconds. Consult with the pharmacist or call the M. Well you might guess that a fraction is involved i. Once open, select the appropriate bin, indicated by a flashing light. In the medication preparation area, prepare the medication according to best practice and procedures. Compare the medication name on the label of the medication to the medication name provided on the MAR in the electronic health record on the computer screen. A box of pre-filled Clexane syringes might say 40 mg on the outside, but the needles inside are mg pharmacy error ; different doses have different coloured labels. After the medication has been prepared and labeled, perform the second safety check.
The second and third pages are for regular medications, including variable dose drugs where the dose is based on laboratory blood test results. How do you know?
18 rights of drug administration
In the patient's room, ask them to state their name and date of birth. The general steps for each system are the same, and although this video illustrates the steps performed using one of these software tools, the safety checks highlighted in this section are universally applicable. Errors can arise if the nurse fails to check the route of drug administration or the medication itself. If you are unfamiliar with this medication, check your drug book. Variable dose therapies include lithium carbonate, steroids on a reducing protocol, and the anticoagulant warfarin, which requires the INR International Normalised Ratio result to be recorded. It has taken some time, but we finally came up with a plan with his meds and lifestyle where he has been feeling very well and his numbers are better than ever. At this point the "Right Dose" step is complete.
It takes only a moment to check that the patient inhales the bronchodilator e. Right patient Administering drugs in a hospital has its advantages; patients wear name bands and stay in their own beds. Notify the M.
General medication administration considerations review in the room, with the patient; see medication preparation and administration videos. Hold the labeled medication next to the computer screen. Complete the second safety check by referring to the time of administration in the MAR and checking the time on a clock or wristwatch.
5 rights of medication administration poster
Wrong route e. In practice, the need for calculations is frequently obviated by the simplicity of the dosing regimes e. Or can it be crushed? The opposite error occurs infrequently when the nurse fails to spot that the treatment has ceased eg for 7 days only and carries on with it, copying what was done previously, without reading the prescription; ideally the prescriber should draw a line through the boxes beyond the time when the treatment is complete. The pharmacist looked at their records and found that true enough, the prescription had not changed, but it was filled incorrectly. General medication administration considerations review in the room, with the patient; see medication preparation and administration videos. At this point the "Right Patient" step has been completed for the second safety check. If all are observed, the potential for mistakes is drastically reduced. There were two drug trolleys one for each floor filled with racks of blister packs, bottles and packets of all descriptions, containing unfamiliar medications, placed in an order known only to the last user. The person who dispenses the medication should be the one to give it. Ventolin to open up the airways, before inhaling the corticosteroid, i. Make sure the patient swallows any oral medications. Complete the second safety check by referring to the time of administration in the MAR and checking the time on a clock or wristwatch.
based on 22 review